Trinity Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.005754-IR Issued in LA

Legal business name

TRINITY SPECIALTY PHARMACY LLC

Practice address

2800 Gause Blvd E
Ste F
Slidell, LA 70461-4247

Phone

(985) 641-4252

Fax

(985) 641-5123

NPI assigned

Mar 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tommy Morris, PHD, RPH

Title

Owner

Phone

(504) 723-2551

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• TRINITY SPECIALITY PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Tillison, PHARM D

  • Pharmacist
  • Slidell, LA
  • NPI 1396114179
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1386775484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 GAUSE BLVD E",
            "address_2": "STE F",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614247",
            "telephone_number": "985-641-4252",
            "fax_number": "985-641-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GAUSE BLVD E",
            "address_2": "STE F",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614247",
            "telephone_number": "985-641-4252",
            "fax_number": "985-641-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-723-2551",
        "authorized_official_credential": "PHD, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.005754-IR",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035435",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1268992",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY SPECIALITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen M. Treece, PHARM D.
• Valdiner M Trepagnier, LMSW
• Gretchen Trim-Terrell
• Trinity Neurologic Rehabilitation Center Igh, LLC
• Trinity Rehab
• Jenni M Triola, DMD
• Triplemtransport
• Hannah Trisler
• Adrianne L Trogden, LPC
• Cortrice Trotter, LMSW

• Community/Retail Pharmacy in Slidell, LA
• Providers in Slidell, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.